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Related terms: Total hip replacement, Hip arthroplasty

Using Same Hospital for Complications After Surgery Lowers Death Risk: Study

Posted 18 Jun 2015 by Drugs.com

THURSDAY, June 18, 2015 – Surgery patients who suffer complications after discharge from a hospital are more likely to die if they're readmitted to a different hospital than where they had their original operation, a new study finds. University of Utah researchers reviewed information on millions of Medicare patients who underwent one of 12 major surgical procedures between 2001 and 2011. They found that up to one-fifth of the patients were readmitted to a hospital within 30 days due to complications. Up to 83 percent of patients with complications were readmitted to the same hospital where they had their initial surgery. Overall, readmission to the same hospital was associated with a 26 percent lower risk of death within 90 days, the study revealed. For specific types of surgeries, the risk of death associated with readmission to the same hospital ranged from 44 percent lower for ... Read more

Related support groups: Surgery, Knee Joint Replacement, Hip Replacement, Gastric Bypass Surgery, Orthopedic Surgery, Head & Neck Surgery, Appendectomy, Neurosurgery, Ophthalmic Surgery, Spleen Removal, Gastrointestinal Surgery, Vascular Surgery, Cardiothoracic Surgery, Genitourinary Surgical and Other Conditions

Health Tip: Are You at Risk for Hip Strain?

Posted 23 Apr 2015 by Drugs.com

-- Injury to the muscles that surround the hip can range from mild to severe, and athletes are considered at higher risk. The American Academy of Orthopaedic Surgeons mentions these common risk factors for hip strain: Taking a direct hit to the joint, or taking a hard fall. Overusing the hip. Having a previous hip injury. Having tightness in muscles that surround the hip. Warming up insufficiently before a workout. Exercising too vigorously. Read more

Related support groups: Hip Replacement

Many May Be OK to Drive 2 Weeks After Getting New Hip: Study

Posted 25 Mar 2015 by Drugs.com

WEDNESDAY, March 25, 2015 – Many people who've had hip replacement surgery might safely be able to drive as soon as two weeks after the procedure, a new small study finds. This rapid return to getting behind the wheel is due to improvements in surgery, pain management and rehabilitation, the researchers said. Studies conducted more than a decade ago recommended that total hip replacement patients wait six to eight weeks before driving again, the researchers said. The new study included 38 people who underwent total hip replacement between 2013 and 2014. Their brake reaction time was tested before and after their procedure. The results showed that 87 percent of the patients regained their presurgery brake reaction times within two weeks after surgery, and the other 13 percent reached that point within four weeks after surgery. There were no differences in terms of age, gender or the use ... Read more

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More Middle-Aged Americans Are Getting Hips Replaced

Posted 24 Mar 2015 by Drugs.com

TUESDAY, March 24, 2015 – More and more middle-aged Americans are replacing their hips damaged by severe arthritis – a surgery that used to be largely reserved for elderly people, a new study reports. Researchers found that between 2002 and 2011, the rate of hip-replacement surgery nearly doubled among Americans ages 45 to 64. By 2011, those middle-aged patients accounted for over 42 percent of all hip replacements nationally – up from 34 percent in 2002. It's a striking change in a fairly short amount of time, according to lead researcher Dr. Alexander McLawhorn, an orthopedic surgeon at the Hospital for Special Surgery in New York City. "I think we were a bit surprised by the magnitude of the increase," said McLawhorn. However, he noted, the findings are consistent with government figures released just last month. That study found that the number of hip replacements nationwide ... Read more

Related support groups: Osteoarthritis, Hip Replacement

Health Tip: Preparing for Joint Replacement Surgery

Posted 24 Feb 2015 by Drugs.com

-- Having joint replacement surgery can mean a long recovery. But taking a few steps to get healthier before your operation can speed up the process. The American Academy of Orthopaedic Surgeons suggests: Quit smoking, which can slow healing and recovery. Lose any extra weight before surgery, and be sure to eat a well-balanced, nutritious diet. Avoid alcohol for at least 48 hours before surgery. Talk to your doctor if you use any prescribed controlled substances. Talk to your doctor about exercising before surgery. Read more

Related support groups: Hip Replacement

Number of Hip Replacements Has Skyrocketed, U.S. Report Shows

Posted 12 Feb 2015 by Drugs.com

THURSDAY, Feb. 12, 2015 – The number of hip replacements performed in the United States has increased substantially, and the procedure has become more common in younger people, new government statistics show. The numbers reveal the rapid evolution of the procedure, which "remains one of the most dramatic and cost-effective ways to improve the quality of life for patients," said Dr. Mark Pagnano, chairman of the department of orthopedic surgery at the Mayo Clinic in Rochester, Minn. "Recovery is dramatically easier for patients, the durability of hip replacements has improved, and the baby boomer generation is less willing to accept the limitations that accompany arthritis," added Pagnano, who was not involved in the study. For the report, researchers looked at hospital statistics on total hip replacement – replacement of the head of the femur (thigh bone) and its socket – from ... Read more

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Early, Small Babies May Be More Prone to Adult Hip Trouble

Posted 3 Nov 2014 by Drugs.com

MONDAY, Nov. 3, 2014 – Adults who were born preterm or at a low birth weight may have an increased risk of needing a hip replacement due to osteoarthritis, a new study suggests. The researchers looked at more than 3,600 Australian adults, aged 40 and older. Seventy-five of them had undergone hip replacement and 116 had knee replacement surgery due to osteoarthritis. The researchers found that preterm birth and low birth weight were linked with increased risk of hip replacement. This association was independent of age, sex, body-mass index, physical activity levels, high blood pressure, diabetes, smoking or level of education. Although the study found an association between hip replacement due to osteoarthritis and being born prematurely or at a low birth weight, the study wasn't designed to prove that those factors caused the need for a hip replacement. The researchers found no ... Read more

Related support groups: Osteoarthritis, Hip Replacement, Prematurity/Underweight in Infancy

Medical Implant Devices Skate Through Review Process, Studies Claim

Posted 30 Sep 2014 by Drugs.com

MONDAY, Sept. 29, 2014 – Every day, people receive medical implants – artificial valves, hip replacements, surgical mesh and the like – that may not have been rigorously tested before or after their approval by the U.S. Food and Drug Administration, two new studies contend. The studies – conducted by prominent nonprofit groups and published online Sept. 29 in JAMA Internal Medicine – lay the blame for inadequate medical device testing on lax oversight by the FDA. Manufacturers didn't submit any scientific evidence on the safety or effectiveness of 42 out of a sample of 50 new implants in their applications to the FDA, according to a review conducted by the nonprofit National Center for Health Research. The FDA cleared the implants for use in humans. "If you are a doctor who wants to know what the scientific evidence is that this device is safe and effective, there is no publicly ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Prosthetic Heart Valves - Mechanical Valves

Anesthesia Type May Affect Recovery From Hip Fracture Repair

Posted 24 Jun 2014 by Drugs.com

TUESDAY, June 24, 2014 – Hip fracture surgery patients who are given regional anesthesia have a slightly lower risk of death and a slightly shorter hospital stay than those who receive general anesthesia, a new study shows. Regional anesthesia involves delivery of anesthesia directly to the affected part of the body without putting the patient "to sleep." Researchers analyzed data from nearly 57,000 patients over age 50 who had hip fracture surgery in New York State between 2004 and 2011. Of those patients, 28 percent had regional anesthesia and 72 percent had general anesthesia. The death rate after 30 days was 5.3 percent for regional anesthesia patients and 5.4 percent for general anesthesia patients, which is not statistically significant. The average length of hospital stay was six days for regional anesthesia patients and 6.3 days for general anesthesia patients. The findings ... Read more

Related support groups: Hip Replacement, Propofol, Ketamine, Diprivan, Nitrous Oxide, Isoflurane, Sevoflurane, Halothane, Droperidol, Pentothal, Etomidate, Thiopental, Fospropofol, Amidate, Lusedra, Ketalar, Brevital Sodium, Suprane, Fluothane, Ultane

Weight Loss May Boost Success of Joint-Replacement Surgery

Posted 18 Mar 2014 by Drugs.com

TUESDAY, March 18, 2014 – Losing or gaining weight after joint-replacement surgery affects the ultimate success of the operation, according to a new study. Patients who lost weight after knee-replacement surgery had much better results in terms of pain, function and activity levels than those who maintained or gained weight, the researchers found. But in both knee- and hip-replacement patients, weight gain was associated with poorer outcomes, according to the study, which was presented at this month's annual meeting of the American Academy of Orthopaedic Surgeons in New Orleans. "Based on our findings, as physicians, we should convey to our patients the importance of maintaining good health and an appropriate weight, and we should help them in any way we can to achieve this goal," said Dr. Geoffrey Westrich, senior investigator and director of research in adult reconstruction and joint ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement

New Knees, Hips May Also Help the Heart

Posted 11 Mar 2014 by Drugs.com

TUESDAY, March 11, 2014 – A knee or hip joint replacement may provide a surprising benefit: better heart health. In a study of 2,200 people older than 55 with arthritis, researchers found that the odds of a serious heart problem or death were 37 percent lower in people who had a knee or hip replacement compared to those who didn't have such surgery. "Arthritis is associated with an increased risk of cardiovascular disease and cardiovascular death. It is possible that arthroplasty can reduce these risks," said lead study author Dr. Bheeshma Ravi, a physician in the division of orthopedic surgery at the University of Toronto. Total joint arthroplasty is the medical name of the surgery to replace a hip or knee joint. Patients in the study had osteoarthritis, the type of arthritis associated with normal wear and tear on the joints. While the study found a link between having joint ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement

Hip Replacement Safe for Patients in Their 90s, Study Finds

Posted 11 Mar 2014 by Drugs.com

TUESDAY, March 11, 2014 – As the population ages, more and more older people might need to have their hip joints replaced. But how old is too old to undergo the surgery? According to a new study, patients in their 90s who need total hip replacement can have results comparable to younger patients. "Our data show that [older] patients have the ability to do better than we expected," said lead researcher Dr. Alexander Miric, an orthopedic surgeon at Kaiser Permanente, in Los Angeles. Over a 10-year period, Miric and his colleagues compared the results of hip replacement surgery in 183 patients who were aged 90 and above to the results of more than 43,000 other total hip replacement surgeries performed on younger patients. "Being in your 90s need not disqualify you from having a hip replacement surgery," Miric said. He is scheduled to present the findings Tuesday at the annual meeting of ... Read more

Related support groups: Hip Replacement

Hormone Therapy May Cut Risk of Repeat Joint Replacement Surgery in Women

Posted 23 Jan 2014 by Drugs.com

THURSDAY, Jan. 23, 2014 – Women who start hormone replacement therapy after having had hip or knee replacement surgery may cut their risk of needing another procedure in the same joint by nearly 40 percent, a new study suggests. About 2 percent of those who have a hip or knee replacement need another surgery within three years. Most of these additional procedures are needed because of a complication known as osteolysis, which happens when tiny pieces of the implant seep into the tissue around the implant, causing inflammation that destroys the bone around the implant, the British researchers explained. "There is evidence that drugs like hormone replacement therapy, used usually to prevent osteoporosis and fractures, might have a beneficial effect on implant survival in patients undergoing knee or hip replacement," said lead researcher Dr. Nigel Arden, director of musculoskeletal ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement

Death Rate After Hip, Knee Replacements Has Dropped Sharply: Study

Posted 10 Jan 2014 by Drugs.com

THURSDAY, Jan. 9, 2014 – The risk of death from hip- or knee-replacement surgery has dropped substantially in recent years, a large new study finds. Dutch researchers found that since the early 1990s, death rates have fallen by almost two-thirds among Danish adults having the procedures. The length of patients' hospital stays also dropped – from more than two weeks, on average, to about one week. The study did not dig into the reasons for the improvements, but it's likely that changes in post-surgical care have had a big impact, said lead researcher Arief Lalmohamed, of the Utrecht Institute of Pharmaceutical Sciences in the Netherlands. Those changes, he said, include new blood-thinning medications that help prevent patients from developing potentially dangerous blood clots after surgery. Clots can, in some cases, lead to a heart attack, stroke or pulmonary embolism (a blood clot in ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement

Complications More Common Than Thought for Type of Hip Surgery

Posted 25 Mar 2013 by Drugs.com

SATURDAY, March 23 – The complication rate for hip arthroscopy, a minimally invasive surgical procedure to repair damage to the inside of the joint, is higher than previously thought, a new study finds. The researchers said previous reports on complications were not comprehensive and did not include new surgical techniques, such as repair of the hip labrum. They suggested their findings could help doctors prevent complications associated with hip arthroscopy in the future. The new study analyzed information on nearly 600 hip arthroscopies that took place at three hospitals between January 2011 and April 2012. Patients, whose average age was about 32, included an equal number of men and women. Researchers took participants' individual diagnosis, demographic information and procedure into account. "The overall complication rate after hip arthroscopy was 7.2 percent, which is higher than ... Read more

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